Challenge
Inconsistent coverage and reimbursement for advanced cardiology-focused PGx tests, leading to financial uncertainty.
Solution
Aligned test offerings with recognized CPT codes through PGxAI’s automated billing tools, enhancing documentation for insurance claims.
Results
80% reduction in claim denials, stable revenue flow, and the addition of two new cardiology group clients.
“We saw immediate improvements in claim acceptance rates, and clinicians appreciate the clarity in our PGx reports. PGxAI has been transformative.”
Dr. Maria Daniels
Dr. Brandon Colby, CEO, CEO, Sequencing.com